Individual provider Active NPI

Vincent Anthony Giminaro, DO

  • Pulmonary Disease Physician
  • Bel Air, MD
National Provider Identifier
1730179722
Registry record updated Jan 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
H0054439 Issued in MD
Practice address
2012 S Tollgate Rd
Ste 111
Bel Air, MD 21015-5900
Phone
(410) 569-4144
Fax
(410) 569-4147
NPI assigned
Oct 21, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X H0054439 MD Primary

Addresses

Primary practice location

2012 S Tollgate Rd
Ste 111
Bel Air, MD 21015-5900

Mailing address

2012 S Tollgate Rd
Ste 111
Bel Air, MD 21015-5900
Phone (410) 569-4144

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090708000061 MD Practitioner - Internal MedicinePractitioner - Osteopathic Manipulative MedicinePractitioner - Pulmonary DiseasePractitioner - Geriatric Medicine 9537182316 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
H0054439MDMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lifebridge Community Physicians Inc CurrentSince Feb 1, 2015 Accepting new patients
Lifebridge Community Physicians, Inc CurrentSince Feb 1, 2015 Accepting new patients
Lifebridge Community Physicians, Inc Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

2012 S Tollgate Rd
Ste 111
Bel Air, MD 21015
Phone (410) 560-6931

410 Malcolm Dr
Ste A
Westminster, MD 21157
Phone (410) 876-1633

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388707200000",
    "number": "1730179722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2012 S TOLLGATE RD",
            "address_2": "STE 111",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210155900",
            "telephone_number": "410-569-4144",
            "fax_number": "410-569-4147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2012 S TOLLGATE RD",
            "address_2": "STE 111",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210155900",
            "telephone_number": "410-569-4144",
            "fax_number": "410-569-4147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIMINARO",
        "first_name": "VINCENT",
        "middle_name": "ANTHONY",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-21",
        "last_updated": "2014-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MD",
            "license": "H0054439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

Verify at the official NPI Registry.